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Cordocentesis and ITPFrom: Kenneth J. Moise (kmoise@bcm.tmc.edu)Sat May 25 10:42:53 1996
I would agree wholeheartedly with Josh Copel. Many of the patients referred to our center have gestational thrombocytopenia. We stopped using anti-platelet antibody assays as a diagnostic criteria many years ago because these individuals are invariably positive. I would not offer cordocenteis to an individual with autoimmune thrombocytopenic purpura unless she has a diagnosis prior to pregnancy (with or without splenectomy) or if she is newly diagnosed during pregnancy - she must have a platelet count below 75,000/mm3. Patients with gestational thrombocytopenia do not nadir their platelet count below this level. Ken Moise Baylor College of Medicine
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